Chapter

Case 23

John Stradling, Andrew Stanton, Najib Rahman, Annabel Nickol and Helen Davies

in Oxford Case Histories in Respiratory Medicine

Published on behalf of Oxford University Press

Published in print July 2010 | ISBN: 9780199556373
Published online November 2012 | e-ISBN: 9780191753299 | DOI: http://dx.doi.org/10.1093/med/9780199556373.003.023

Series: Oxford Case Histories

Case 23

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An 88-year-old woman was admitted with a 6-month history of progressive shortness of breath, a cough productive of small volumes of clear sputum and lethargy. In the preceding 3 weeks her symptoms had worsened, also with episodes of feeling hot and shivery. Three courses of antibiotics from her GP had not improved symptoms. She had previously been given a diagnosis of late onset asthma, on the basis of several year’s history of shortness of breath and wheezing at night, worse in the springtime and with exposure to oil seed rape. She had no other atopic history. Symptoms had improved a little with inhaled beclomethasone 200µg, two puffs twice daily and salbutamol, as required. She was an ex-smoker with a 10-pack year history.

Chapter.  1406 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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